Charlene M Brock
MD | Pediatrics | Female
Charlene M Brock, MD is a Philadelphia, Pennsylvania based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Charlene M Brock is
8500 Henry Ave, Tpi Henry Avenue Pediatrics, Philadelphia, Pennsylvania - 19128-2111. She can be contacted on phone at
215-483-8865 and fax number 215-483-8027.
Charlene M Brock is a sole proprietor of her business.
NPI number (Unique professional ID) for Charlene M Brock is
1619910908 which was assigned by NPPES on 14 Jun, 2006 and it was last updated on 14 Aug, 2007.
Charlene M Brock license number is
MD022704E for Pediatrics (208000000X) in Pennsylvania.
Charlene M Brock is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Charlene M Brock basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Charlene M Brock |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Charlene M Brock address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 8500 Henry Ave, Tpi Henry Avenue Pediatrics
Philadelphia, PA, 19128-2111
United States |
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| Phone Number : | 215-483-8865 |
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| Fax Number : | 215-483-8027 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1619910908 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 14 Jun, 2006 |
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| Last Updated On : | 14 Aug, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Charlene M Brock are as mentioned. Primary taxonomy code for Charlene M Brock, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | MD022704E | PA |
Legacy Identifiers:
Other legacy medical identifiers of Charlene M Brock such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 436710 | Other | PA | COVENTRY HEALTH AMERICA |
| 30030891 | Other | PA | KEYSTONE MERCY HEALTH PLA |
| 0016346 | Other | PA | AETNA HMO |
| 0055530000 | Other | PA | INDEPENDENCE BLUE CROSS |
| 102057 | Other | PA | HIGHMARK BLUE SHIELD |
| 5406099 | Other | PA | AETNA PPO |
| 3Y7184 | Other | PA | HEALTH NET |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2450 W Hunting Park Ave, 2nd Floor Tpi
Philadelphia, PA, 19129-1302
United States |
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| Phone Number : | 215-926-9019 |
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| Fax Number : | 215-226-8286 |
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Business Location:
Patients can refer following map for directions to
Charlene M Brock practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.